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    Manager, Care Management - Bloomington, United States - Careforth

    Careforth
    Careforth Bloomington, United States

    6 days ago

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    Description
    Position Summary::

    Reporting to the Director, Care Management, the Manager, Care Management is responsible for directing care management operations and leading a team to deliver services that engage, motivate, and educate family caregivers to support complex individuals, keeping care at home. This individual ensures the delivery of high-quality services in compliance with all state, program, and accreditation requirements. This individual will manage a team of clinical and non-clinical care managers, providing case management services across the continuum of care (assessment, care planning, care coordination, and monitoring and evaluating services). In collaboration with key stakeholders, this individual will create action plans in support of quality improvement efforts and positive health outcomes.

    What You Will Do::
    • Lead and manage a team of clinical and non-clinical care managers to engage, motivate, and educate family caregivers to support complex individuals, keeping care at home.
    • Oversee care management functions and ensure consistency and compliance with clinical policy, procedure and best practices, including regulatory and contractual agreements as well as NCQA accreditation requirements
    • Lead, coach and develop staff to meet department goals, ensuring key performance indicators and goals are reviewed regularly in support of a high performance / high engagement work environment
    • Plan, organize, and oversee timely completion of activities, including assessments, care plans, and discharge planning
    • Implement and interpret organizational and contractual policies and procedures; regularly review work to ensure policies and guidelines are appropriately applied
    • Track and trend outcomes for potential improvements in the care management process. Create monitors, evaluate and disseminate programmatic reports weekly, monthly, and as needed
    • Provide oversight for the appropriate use of tools and person-centered care plans to support caregiver and care recipient needs; provide regular review of incidents to identify cause and recommend interventions
    • Support and maintain clinical relationships with key external business partners and referral sources to increase care collaboration and foster credibility in our services
    • Review and analyze data (e.g. hospitalization rates, falls, incidents, activation, suspension, and discharge rates) and engage care management team to determine improvement opportunities and manage interventions
    • Perform other duties and special projects as assigned
    What You Will Bring::
    • Bachelors degree or equivalent work experience preferably in a health care or social services discipline is required along with 7+ years of case management experience in healthcare and social services, preferably with experience in eldercare, and/or people with disabilities or other complex medical needs
    • 3+ years of experience managing, coaching or developing staff; 2+ years of program or clinical operations management
    • An active RN license is strongly preferred. Additional state-specific qualifications may be required.
    • Ability to travel (usually by automobile) within assigned geographic area; valid drivers license and automobile insurance is required
    • Working knowledge of case management systems, community service and delivery systems, and proficiency with Microsoft Office suite.
    About Us::

    Careforth empowers thousands of family caregivers across the United States to confidently care for their loved ones at home. Everyday our team of trained nurses and care coaches engage in real conversations with caregivers, personally and via our proprietary digital collaboration app, to provide emotional support, personal guidance, and connections to community resources. Headquartered in Boston, Careforths caregiver programs and services improve health outcomes, provide cost savings for those receiving care, and increase engagement and satisfaction for health plans and providers. Through it all Careforth supports family caregivers. At every turn.

    For more information, please visit

    Careforth is an Equal Opportunity Employer*

    DISCLAIMER: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.

    *Careforth supports families with diverse backgrounds and as an equal opportunity employer, we seek employees who reflect the diverse population we serve. Careforth complies with all applicable laws concerning hiring and employment practices and is firmly committed to fostering and maintaining a workplace free from discrimination. We pledge to hire, train, and promote our employees without regard to race, religion, gender, gender identity, genetic information, age, national origin, sexual orientation, disability, veteran status, or any other category protected by applicable law.

    Careforth strives to create experiences that are accessible and welcoming to everyone, including making and the careers site accessible to any and all users. If you would like to contact us regarding the companys diversity, equity and inclusion initiatives, inquire about a specific accessibility need or the accessibility of our website, or if you need assistance completing an application process, please contact People & Culture at

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